Mainstream Rehabilitation Services of TX

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

814047 Issued in TX

Legal business name

MAINSTREAM REHABILITATION SERVICES OF TX

Practice address

301 Commerce St
Azle, TX 76020-2438

Phone

(214) 727-9546

NPI assigned

Aug 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy Wilcox

Title

RN/BSN

Phone

(214) 727-9546

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1942558663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 COMMERCE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "76098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 COMMERCE ST",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202438",
            "telephone_number": "214-727-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREAM REHABILITATION SERVICES OF TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "RN/BSN",
        "authorized_official_telephone_number": "214-727-9546"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "814047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Leigh-Ann Leon, CSFA
• Steven E Longacre, M.D.
• Vanessa Anjelina Lozano, MA, LPC
• Lustig and Young Orthodontics
• Jason Mageto, COTA/L
• Kavitha Mamindla, M.D.
• Arianna Martinez, LCDC-INTERN
• Eva Belinda Martinez, RPH
• Randall Ray Mask, DC
• Tiffani Mason, LPC

• Registered Nurse in Azle, TX
• Providers in Azle, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.